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NPI Code Detail

MEDICARE: KARI RAE DUCLOS P.T.

MEDICARE:   KARI RAE DUCLOS  P.T.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225100000XPhysical TherapistPT00003546WA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1982781175
Entity Type Code : Individual
Provider Name (Legal Business Name) : KARI RAE DUCLOS P.T.
Provider Business Mailing Address
First Line : 203 E DALKE AVE
Second Line :
City : SPOKANE
State : WA
Zip : 99208-8112
Country : US
Telephone Number : 509-483-8228
Fax Number : 509-483-8338
Provider Business Practice Location Address
First Line : 203 E DALKE AVE
Second Line :
City : SPOKANE
State : WA
Zip : 99208-8112
Country : US
Telephone Number : 509-483-8228
Fax Number : 509-483-8338
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/01/2006
Last Update Date : 11/15/2013

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Directions to “ KARI RAE DUCLOS P.T.” Practice Location

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